Individual provider Active NPI

Gloria Ann Pombo, PA-C

  • Physician Assistant
  • North Charleston, SC
National Provider Identifier
1790087880
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3054 Issued in SC
Practice address
8901 University Blvd
North Charleston, SC 29406-9116
Phone
(843) 203-2245
Fax
(843) 203-2244
NPI assigned
Nov 23, 2010
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3054 SC Primary

Addresses

Primary practice location

8901 University Blvd
North Charleston, SC 29406-9116

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
4167PAMedicaidSC

Other names 1

  • Ms. Gloria A Yablonsky Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gloria.Pombo@rsfpp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611002652 SC Practitioner - Physician Assistant 2163604109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1114 N Main St
Summerville, SC 29483-7326
Phone (843) 212-8070

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

3885 W Ashley Cir
Suite F600
Charleston, SC 29414-9273
Phone (843) 853-3474

4278 Ladson Rd
Ladson, SC 29456-5452
Phone (844) 975-6683

8901 University Blvd
N Charleston, SC 29406-9116
Phone (843) 789-1850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3054SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Jul 6, 2020 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 6, 2020 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

3575 Maybank Hwy
Ste A
Johns Island, SC 29455
Phone (843) 402-1870

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

8901 University Blvd
North Charleston, SC 29406
Phone (843) 203-2245

Interoperability endpoints

  • Direct secure messaging: gloria.pombo@rsfpp.eclinicaldirectplus.com
  • Direct secure messaging: gpombo1236077@direct.bsmhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1790087880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 UNIVERSITY BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069116",
            "telephone_number": "843-203-2245",
            "fax_number": "843-203-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMBO",
        "first_name": "GLORIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4167PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gloria.Pombo@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "8901 University Blvd",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "YABLONSKY",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.